1.1                          A bill for an act 
  1.2             relating to health; establishing requirements for the 
  1.3             Minnesota health data institute to prepare and issue 
  1.4             public reports assessing performance and consumer 
  1.5             perceptions; appropriating money; amending Minnesota 
  1.6             Statutes 1998, section 62J.451, subdivisions 6a, 6b, 
  1.7             and 6c. 
  1.8   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.9      Section 1.  Minnesota Statutes 1998, section 62J.451, 
  1.10  subdivision 6a, is amended to read: 
  1.11     Subd. 6a.  [HEALTH PLAN COMPANY PERFORMANCE MEASUREMENT.] 
  1.12  As part of the performance measurement plan specified in 
  1.13  subdivision 6, the health data institute shall ~~develop a~~ 
  1.14  ~~mechanism to assess the performance of health plan companies,~~ 
  1.15  ~~and to disseminate this information through reports and other~~ 
  1.16  ~~means~~ annually prepare a report assessing the performance of 
  1.17  health plan companies in Minnesota.  The report shall include 
  1.18  consumer survey information collected in a manner consistent 
  1.19  with subdivision 6b and other standard performance measurement 
  1.20  information, including but not limited to the financial and 
  1.21  utilization data classified as public data under chapter 13 
  1.22  reported to the commissioner of health under chapter 62D and to 
  1.23  the commissioner of commerce under chapters 62A and 62C.  The 
  1.24  report shall be disseminated to consumers, purchasers, 
  1.25  policymakers, and other interested parties, consistent with the 
  1.26  data policies specified in section 62J.452.  
  2.1      Sec. 2.  Minnesota Statutes 1998, section 62J.451, 
  2.2   subdivision 6b, is amended to read: 
  2.3      Subd. 6b.  [CONSUMER SURVEYS.] (a) The health data 
  2.4   institute shall develop and implement a mechanism for collecting 
  2.5   comparative data on consumer perceptions of the health care 
  2.6   system, including consumer satisfaction, through adoption of ~~a~~ 
  2.7   standard consumer ~~survey~~ surveys for health plan companies, 
  2.8   health care delivery systems, hospitals, clinics, and other 
  2.9   provider organizations.  ~~This survey~~ These surveys shall include 
  2.10  enrollees in community integrated service networks, health 
  2.11  maintenance organizations, preferred provider organizations, 
  2.12  indemnity insurance plans, public programs, and other health 
  2.13  plan companies and consumers served by health care delivery 
  2.14  systems, hospitals, clinics, and other provider organizations in 
  2.15  Minnesota.  The health data institute shall determine a 
  2.16  mechanism for the inclusion of the uninsured.  
  2.17     (b) The health data institute shall conduct a standard 
  2.18  consumer survey that measures consumer satisfaction with health 
  2.19  plan companies in Minnesota.  This consumer survey may be 
  2.20  conducted every two years.  A focused survey may be conducted on 
  2.21  the off years.  Health plan companies and group purchasers shall 
  2.22  provide to the health data institute roster data as defined in 
  2.23  subdivision 2, including the names, addresses, and telephone 
  2.24  numbers of enrollees and former enrollees and other data 
  2.25  necessary for the completion of this survey.  This roster data 
  2.26  provided by the health plan companies and group purchasers is 
  2.27  classified as provided under section 62J.452.  The health data 
  2.28  institute may analyze and prepare findings from the raw, 
  2.29  unaggregated data, and the findings from this survey may be 
  2.30  included in the health plan company performance reports 
  2.31  specified in subdivision 6a, and in other reports developed and 
  2.32  disseminated by the health data institute and the commissioner.  
  2.33  The raw, unaggregated data is classified as provided under 
  2.34  section 62J.452, and may be made available by the health data 
  2.35  institute to the extent permitted under section 62J.452.  The 
  2.36  health data institute shall provide raw, unaggregated data to 
  3.1   the commissioner.  The survey may include information on the 
  3.2   following subjects: 
  3.3      (1) enrollees' overall satisfaction with their health care 
  3.4   plan; 
  3.5      (2) consumers' perception of access to emergency, urgent, 
  3.6   routine, and preventive care, including locations, hours, 
  3.7   waiting times, and access to care when needed; 
  3.8      (3) premiums and costs; 
  3.9      (4) technical competence of providers; 
  3.10     (5) communication, courtesy, respect, reassurance, and 
  3.11  support; 
  3.12     (6) choice and continuity of providers; 
  3.13     (7) continuity of care; 
  3.14     (8) outcomes of care; 
  3.15     (9) services offered by the plan, including range of 
  3.16  services, coverage for preventive and routine services, and 
  3.17  coverage for illness and hospitalization; 
  3.18     (10) availability of information; and 
  3.19     (11) paperwork. 
  3.20     ~~(b) The health data institute shall appoint a consumer~~ 
  3.21  ~~advisory group which shall consist of 13 individuals,~~ 
  3.22  ~~representing enrollees from public and private health plan~~ 
  3.23  ~~companies and programs and two uninsured consumers, to advise~~ 
  3.24  ~~the health data institute on issues of concern to consumers.~~  
  3.25  ~~The advisory group must have at least one member from each~~ 
  3.26  ~~regional coordinating board region of the state.  The advisory~~ 
  3.27  ~~group expires June 30, 1996.~~ 
  3.28     Sec. 3.  Minnesota Statutes 1998, section 62J.451, 
  3.29  subdivision 6c, is amended to read: 
  3.30     Subd. 6c.  [PROVIDER ORGANIZATION PERFORMANCE MEASUREMENT.] 
  3.31  (a) As part of the performance measurement plan specified in 
  3.32  subdivision 6, the health data institute shall ~~develop a~~ 
  3.33  ~~mechanism to assess the performance of hospitals and other~~ 
  3.34  ~~provider organizations, and to disseminate this~~ 
  3.35  ~~information~~ annually prepare a report assessing the performance 
  3.36  of health care delivery systems, hospitals, clinics, and other 
  4.1   provider organizations in Minnesota.  This report shall include 
  4.2   consumer survey information collected in a manner consistent 
  4.3   with subdivision 6b.  This report shall be disseminated to 
  4.4   consumers, purchasers, policymakers, and other interested 
  4.5   parties, consistent with the data policies specified in section 
  4.6   62J.452.  Data to be collected may also include structural 
  4.7   characteristics including staff-mix and nurse-patient ratios.  
  4.8   In selecting additional data for collection, the health data 
  4.9   institute may consider: 
  4.10     (1) feasibility and statistical validity of the indicator; 
  4.11     (2) purchaser and public demand for the indicator; 
  4.12     (3) estimated expense of collecting and reporting the 
  4.13  indicator; and 
  4.14     (4) usefulness of the indicator for internal improvement 
  4.15  purposes. 
  4.16     (b) The health data institute ~~may~~ shall conduct consumer 
  4.17  surveys that focus on health care provider organizations.  These 
  4.18  surveys shall include consumers served by health care delivery 
  4.19  systems, hospitals, clinics, and other provider organizations.  
  4.20  Health care provider organizations ~~may~~ shall provide roster 
  4.21  data, as defined in subdivision 2, including names, addresses, 
  4.22  and telephone numbers of their patients, to the health data 
  4.23  institute for purposes of conducting the surveys.  Roster data 
  4.24  provided by health care provider organizations under this 
  4.25  paragraph are private data on individuals as defined in section 
  4.26  13.02, subdivision 12.  Providing data under this paragraph does 
  4.27  not constitute a release of health records for purposes of 
  4.28  section 144.335, subdivision 3a. 
  4.29     Sec. 4.  [APPROPRIATION.] 
  4.30     $....... is appropriated from the general fund to the 
  4.31  commissioner of health for the health data institute for the 
  4.32  biennium ending June 30, 2001, to collect performance 
  4.33  measurement information from health plan companies and provider 
  4.34  organizations, conduct consumer surveys, and prepare and 
  4.35  disseminate annual reports on the performance of health plan 
  4.36  companies and provider organizations under Minnesota Statutes, 
  5.1   section 62J.451, subdivisions 6a, 6b, and 6c.